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General NPI Number Information
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NPI Number | 1194911701
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Entity Type | Organization
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Legal Business Name | G ACUPUNCTURE LLC
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 13205 US HIGHWAY 1 STE 525
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City | JUNO BEACH
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State | FL
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Zip | 33408-2243
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Country | US
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Telephone | 561-693-4460
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 HERMOSA WAY APT 206
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-5375
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Country | US
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Telephone | 561-693-4460
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JIHAN COOK
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Credential | M.S., A.P.
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Telephone | 561-693-4460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2396
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License Number State | FL
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